Toilet kal pawh i harsat em? Obstructed Defecation Syndrome chungchang hi i zir belh leh ang u!

Toilet i kal dawnin stool pass harsa i ti fo thin em? I dry, tight, leh i zo lo hlein i hria em? A nih loh leh ni eng emaw zat toilet kal lovin i kal thin? Hei hi constipation pangngai mai a ni lo mai thei. Vawiin hian he natna atana damdawi hman dan, Obstructed Defecation Syndrome chungchang hi han sawi ila. Hei hi hming sei deuh ni mahse, a awlsam zawngin sawi ila, bawlhhlawh paih laiin thil tihkhawtlai emaw, nuam lo emaw a ni.

Hetiang harsatna hi eng nge ni? (`Obstructed Defecation Syndrome` tih hi eng nge ni?)

A awlsam zawngin sawi ila, Obstructed Defecation Syndrome (ODS) hi ek chhuah a ngai a, mahse uluk taka tih theih loh a ni. Hei hi chhan tam tak a awm thei. Ṭhenkhat chu taksa lam a ni a, chu chu i taksa chhunga mechanical obstruction avanga lo awm tihna a ni. Midangte chu psychological an ni thei bawk.

Hetiang natna vei hian a hnuaia mite hi a tawng thei a ni.

• I duh hun hunah toilet-ah i kal thei lo ang maia inhriatna.
• Ni engemaw zat chhungin vawi khat chauh toilet ka kal a ngai a, chu chu ka poop fo lo tihna a ni.
• Toilet-a i kal hnuah pawh i ek chhuak kim lo ang maiin i la inhria.

Hei hian an constipated tir thin . A châng chuan, a chhûnga stool tang chu thunun theih lohvin tlem tlemin a chhuak thei a ni. Hei hi `(Fecal Incontinence)` an ti bawk. Heng mite hian toilet-ah hun an hmang nasa hle a, stool chhuah hun an nghak a, a nih loh leh an strain nasa hle bawk. Hetianga hun rei tak chhunga straining leh bawlhhlawh vawt leh khauh tak passing avang hian efecation process-a inrawlh muscle leh nerve te chu a chhe thei a ni. Tichuan thil awmdan chu a chhe zual zel a. Ngaihtuah teh, kawngkhar hawn tum a, a tang a, kan nawr nasat chuan kawngka hinge ang chi thil pawh a chhe thei a ni lawm ni? Chu chu hetah hian a thleng thin.

He dinhmun hian engtin nge i taksa a nghawng?

ODS hi natna pakhat chauh a ni lo. Umbrella ang mai a ni. Chu umbrella hnuaiah chuan natna chi hrang hrang a awm a, chu chuan constipation leh efecation harsatna thlentu a ni. Heng zawng zawnga thil langsar tak chu constipation symptoms hi a ni.

Doctor-te’n constipation an hriat theih nan a hnuaia symptom pahnih emaw a aia tam emaw hi ni 90 chhung a awm reng tur a ni :

• Vawi 25% aia tam strain hian bowel movement i nei thin.
• Bowel movement 25% aia tam ah chuan evacuation tling lo anga hriatna .
• Thluak khauh leh vawt tak tak 25% aia tam pass thin.
• Vawi 25% aia tam ek chhuah nan kut zungtang ang chi thil hman a ngai thin.
• Kar khatah vawi thum aia tlem lo efecation.

Mahse heng symptoms te hi iceberg tip chauh a ni thei. Underlying condition dang, la hmuhchhuah loh pawh a awm thei bawk.

Chronic constipation hian hun kal zelah harsatna dang tam tak a thlen thei bawk. A châng chuan, a tir aṭanga a thlentu leh a hnuah eng thil nge a thlen tih hriat a harsa ṭhin.

Mite chuan bawlhhlawh paih harsa tak takte chuan natna dang an nei thei bawk a, chungte chu:

• Pelvic floor dysfunction: I pelvic area (i belly button hnuai lam)-a muscle leh nerve te chu an thawk dun tha lo va, stool an pass thei lo. Team pakhat thawhhona angin ngaihtuah la, mahse mi tin hian thil hrang hrang an ti a ni.
• Organ prolapse: Pelvic area-a organ, bladder, uterus emaw intestines emaw, a awmna pangngai atanga tla, organ dang a nawr emaw, taksa atanga chhuah tum emaw.
• Rectal hyposensation: Rectum-a bawlhhlawh awm leh awm loh hriat theihna hloh emaw, rectum-a bawlhhlawh paih ngai emaw. Kan kut a tingling sensation hriatna hloh ang mai a ni.
• Pooping anxiety: Mi thenkhat chuan an bawlhhlawh khauh leh na tak tak an neih avangin an hriat loh emaw, hriat loh emaw pawhin an ek chhuah loh phah thei. Thil lum i khawih a, i in hal chuan khawih leh i hlau mai thei ang bawkin.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Khawvel mihring 18% vel, mi 100 zinga 18 vel hian he natna darh zau tak, bowel incontinence an tih hi an vei a ni. Hmeichhia leh kum chanve vel zingah a tam hle . Chuvangin he harsatnaah hian nangmah chauh i ni lo tih hria ang che.

Bowel incontinence symptoms te chu engte nge ni?

Hetiang natna vei hian hetiang hian a hre tlangpui thei:

• Toilet pan a ngai a, mahse ka kal thei lo ang maiin ka inhria.
• Ek chhuah a har hle a, a chang chuan natna nen.
• Engtiang pawhin bei mah ila, stool ka paltlang kim lo ang maiin ka inhria.
• Stool kawngah thil pakhat a inkhung ang maiin a lang.

Hei hian a hnuaia mite hi i tih a ngai thei bawk:

• Straining to defecate tih hi a ni.
• Stool chhuah hun rei tak nghah a ngai.
• A chang chuan i kut zungtang hmangin stool i pass theih nan i puih a ngai thin. (Hei hi zak suh, condition-ah hian a tel ve a ni.)
• Laxatives emaw enemas emaw hmanga bawlhhlawh paih chhuah.

Hetiang dinhmun hian thil dang a thlen thei a, chungte chu:

• Ek khal.
• `Fecal incontinence` (rilru chet dan thunun loh).
• A harsatna awm reng.
• Rilru lam dinhmun, lungkhamna emaw, lungngaihna emaw ang chi, a chhan chu hei hian nitin nunah nghawng lian tak a nei a ni.

Complaint tam ber chu:

• Rectum chu a hring emaw, a hliam emaw a ni.
• Pum na leh distension.
• Anal natna.
• Nausea, hahna, leh ei duh lohna.

Engvangin nge toilet ah mumal taka ka kal theih loh? A chhan engte nge ni?

ODS thlentu tam tak a awm thei. Chungte chu organic emaw mechanical emaw pawh a ni thei . Chu chu taksa peng hrang hrang (anatomical defects) emaw, bawlhhlawh kalna kawnga taksa inkharkhip (physical blockage) ang chi thil tihna a ni. Kawng lehlamah chuan, functional causes pawh a awm bawk . Chungte chu thluak leh nervous system hnathawh dan nen a inzawm a ni.

Vawi tam tak chu a chhan chi hnih hi a awm dun thei a ni. A châng chuan, a chhan chi khat hian a dang a thlen thei bawk.

Mechanical chhan hrang hrang:

• Perineal hernia: I pum emaw, i pelvic area-a organ awmte chu pelvic floor kaltlangin a rawn chhuak a.
• Pelvic organ prolapse: I pelvic area-a organ, a awmna pangngai atanga tlan chhuak a, i hnute emaw, i hnute emaw chhunga lut. Entir nan:
• Rectal prolapse: Rectum thenkhat chu anal opening kaltlangin a rawn chhuak a.
• Rectal intussusception: Rectum chunglam chu telescope ang maiin chhung lam hawiin a tla thla a.
• Rectocele (weakened rectal wall): Hmeichhiaah chuan anus leh vagina inkar wall chu a chak lo a, chu chuan anus chu vagina chhungah a rawn chhuak chhuak thin. Hei hian bawlhhlawh a chhuahna hmunah a tang thei a ni.
• Solitary rectal ulcer syndrome: Rectum-a ulcer pakhat emaw a aia tam emaw lo awm. Hei hi straining fo vang a ni thei.

Functional chhan hrang hrang:

• Anismus (dyssynergic defecation): Stool pass tur chuan anus vel sphincter muscle te chu an relax a ngai a. Tin, pum ruhte hian an nawr a ngai bawk. Hetiang kalphung hi a inzawm tha lo va, chawlh hahdam ai chuan taksa ruhte chu a nghet zawk thin. Kawngkhar hawn tum a, khar lehzual ang mai a ni.
• Rectal hyposensitivity: I rectum chu stool-in a khat tih hriat theihna tur a ni . Nerve tihchhiat hian he sensitivity hi a tihziaawm thei a, thluak hian bowel movement nei turin signal a thawn thei lo.
• Rilru lama harsatna: Lungkhamna, lungngaihna, hlauhna thenkhat, OCD (obsessive-compulsive disorder), leh ei leh in lama harsatna te hian hei hi a nghawng vek a ni. Hei hi rilru lam thilin taksa a nghawng theih dan entir nan a tha hle.

Chung zinga pakhat chu ODS thlentu ber a ni thei a, a nih loh leh ODS vanga secondary effect a ni thei bawk.

Tin, a hnuaia thilte hian heng dinhmunte hi a thlen thei bawk:

• Naupai leh nau neih lai.
• Pelvic area-ah surgery tih a ni.
• Accident avanga hliam emaw tihduhdahna emaw.

Engtin chiah nge doctor-te hian he natna hi an hriat chhuah?

Doctor i hmuh hunah i symptoms te an zawt hmasa ang che. I natna lan chhuah dan nasat dan tehna atan scoring chart an hmang thei bawk.

Heng symptoms te hian i constipation hi a rei em tih hriat theih nan a pui thei che a, mahse ODS dik taka hriat theih nan i doctor chuan a chhan awlsam tak (ei leh in hun eng emaw chen atana thlak danglam ang chi) vang a ni lo tih a hriat chian a ngai ang. Hei hian i medical history lak a, test eng emaw zat tih a huam ang.

He natna hi hriat theih nan eng test nge tih thin?

I natna lan chhuah dan a hriatthiam hnuah, i doctor chuan a zir belh theih nan hetiang test hi a rawt thei ang:

• Digital Rectal Exam: Hei hi test hmasa ber a ni tlangpui. Doctor chuan kutkawr vuah, lubricated finger hmangin rectum a enfiah ang. Hei hian rectum lian leh te, natna thlentu te, taksa peng hrang hrang a tlakchhiat leh tlak loh te, leh taksa peng hrang hrangte hnathawh that dan te hriat theihna a pe thei che a ni. Hei hi a nuam lo deuhin a lang thei a, mahse fiahna pawimawh tak a ni.
• Defecography (X-ray emaw MRI of the bowel movement): Hei hian i bowel movement chhungril thlalak lak a huam a ni. Doctor chuan i rectum-ah thil bik (barium ang chi) a dah lut ang. Tichuan, i ek chhuah ang maia pass turin an ti ang che. Hei hi private imaging room bik ah tih a ni. Doctor chuan i taksa peng hrang hrangte chu computer screen-ah a en ang. Hei hian i rectum pianzia te, i taksa ruhte hnathawh dan te, leh i bawlhhlawh kalna tur tikhawlo thei thil eng emaw zat hriat theihna turin a pui thei a ni.
• Anorectal Manometry: He test hian i taksa ruh leh nerve te chu i bawlhhlawh chhuah theih nan a thawk dun tha em tih a teh thin. Tube (catheter) te tak te, balloon te tak te inbun chu i hnute chhungah i dah a, chu balloon chu tui lum in a khat a ni. Tube tawp dang chu taksa ruh hnathawh tehna machine nen an inzawm a ni. Hei hian i hnute pressure, sensation leh coordination te a teh thei a ni.

Heng test chungchang i hriat hian tlem chuan i hlauthawng emaw, i rilru a hahdam lo emaw pawh a ni thei. Mahse, i natna chhan dik tak zawn chhuahna kawngah chuan an ṭangkai hle thei a ni. Zawhna i neih chuan doctor zawt rawh.

Hei hi eng enkawlna nge ni?

ODS thlentu hi a tlangpuiin a buaithlak a, thil inzawm tam tak a awm a, chuvangin enkawlna hi a pum pui leh conservative a ni fo thin.Kawng khata tih a ni. Hei hi operation vawi khat chauh hmanga tihdam theih a nih a rinawm loh. Surgery tih a tha a, chu chuan taksa lama chhiatna a siam \ha a nih pawhin, a dam kim vek lo. Symptoms chu a awm reng thei a, a lo lang leh thei bawk. A chhan chu thil dang ngaihtuah ngai, la hmuhchhuah loh pawh a awm a ni.

Hengte hi doctor-te’n mi zawng zawng tana an rawt hmasak berte chu a ni:

• I ei leh in ah fiber tam zawk dah: Ni khatah gram 30-40 vel. Thil chi hrang hrang, legumes, thlai, thei, leh whole grains te.
• Tui in tam: ni khatah litre 2 aia tam.
• Stool softeners emaw laxatives emaw , home enemas , leh a tul chuan colonic irrigation te.
• Yoga leh guided relaxation technique te hian pelvic floor muscle te a ti hahdam thei a, stress a tihziaawm thei bawk.

Nervous system emaw rilru lam thil emaw avanga natna lanchhuahna nei te tan (he natna vei hmun thuma ṭhena hmun hnih vel chu chutiang thil avanga natna vei an ni):

• Biofeedback therapy: Hei hi anismus (anal opening muscles relax theih lohna) leh pelvic floor dysfunction ang chi condition tan a tangkai hle. Hetah hian i taksa hnathawh dan (muscle contraction ang chi) chu machine hmangin a entir che a ni. Chumi hnuah chuan chu thiltih chu hre reng chungin thunun tûrin i inzirtîr thei ang.
• Psychotherapy: A tul chuan psychiatrist emaw counselor emaw hnenah tanpuina zawng rawh. Hei hian lungkhamna, lungngaihna, leh bawlhhlawh paih hlauhna te a tidam thei a ni.

Taksa lama harsatna (anatomical problems, prolapse ang chi) tan chuan: Enkawlna dangin a puih loh chuan doctor-te chuan operation tih a rawt mai thei. Surgery chi hrang hrang tih theih a awm a:

• Posterior colporrhaphy for rectocele: Rectal wall prolapsed tawh chu siam that leh tihchak nan.
• Rectocele leh intussusception atana stapled transanal rectal resection (STARR): Rectum hmalam bang tihchakna tur surgery.
• Rectopexy: Rectal prolapse tan chuan rectum chu a awmna pangngaiah dah leh a ni a, fixed a ni. A chang chuan, hei atan hian mesh hman a ni. A châng chuan, he surgery neih chhung hian colon ṭhenkhat pawh lak chhuah a ngai thei bawk.

Surgery hi a tawp ber a ni fo tih hre reng ang che. I doctor chuan i dinhmun chu uluk takin a enfiah ang a, i tana tha ber tur enkawlna a rawn rawt ang che.

Hetiang dinhmun nei te tan hian hmalam hun eng nge awm ang?

Conservative treatment hian mi 30% velin a damdawi emaw, a natna lan chhuah dan tihtlem emaw a hmuh theih nan a pui thei a ni. Nunphung thlak danglam (ei leh in, tui, exercise) leh in lama enkawlna (damdawi, enemas) te hi chhunzawm zel a ngai mai thei a, mahse hahdamna a pe thei tak zet a ni.

Biofeedback leh psychotherapy ang chi enkawlna hian rah chhuah a chhuah theih nan hun leh inpekna a mamawh a, mahse a hlawkna erawh a rei thei hle. Surgery atanga result hi a inang lo hle. Surgery hi enkawlna dang nena khaikhin chuan a hlawk zawk niin a lang.

Stool pass harsat hi harsatna a ni a, ngaihven vat a ngai a ni. Mahse, eng thil nge a thlen tih hriat a harsa thei hle. Kan taksaa system tam tak – thluak pawh – ek chhuahna kawngah hian a inrawlh tih hi mak i ti hle ang!

Vanneihthlak takin ODS enkawlna atana doctor-te’n an rawt tam tak hi chaw ei kham reng reng tan pawh a \angkai thei bawk. Tunlai hian nunphung thlak danglam, in lama damdawi leh therapies hmangin i tan thei ang. Mahse doctor pan a, checkup neih a tha fo. I dinhmun tichhe thei damdawi lam harsatna dang emaw, taksa lama harsatna dang emaw chu a paih chhuak thei a, chu pawh chu a enkawl thei bawk. Tin, i dinhmun a hriat belh hnuah, i diagnosis chungchang a sawipui thei bawk che a ni.

A tawp berah chuan hei hi hre reng ang che !

Okay, chuvangin vawiin a kan sawi tawh atang hian i hriat reng tur thenkhat chu hetiang hi a ni:

• Urinary incontinence (UDI) hi a buaithlak deuh a, a chhan pakhat aia tam avanga lo awm thei a ni.
• Toilet kal harsa i tih a, i ril a vawt a, bawlhhlawh i paltlang lo ang maia i inhriat chuan ngaihthah mai mai suh.
• Heng symptoms te hi i neih chuan zak leh hlau suh, Doctor pan rawh. A chhan i hmuchhuak a, enkawlna dik tak i hmuh chuan he dinhmun atang hian i chhuak thei ang.
• Nunphung tihdanglam awlsam tak (fiber tamna ei tur, tui, exercise) hian danglamna nasa tak a thlen thei a ni.
• A chang chuan `Biofeedback` emaw, surgery emaw ang chi enkawlna bik a ngai thei bawk. Hemi chungchangah hian i doctor chuan thurawn a pe ang che.
• He harsatnaah hian nangmah chauh i ni lo. Mi tam takin he natna hi an tuar a ni. Chuvangin chak takin awm la, i doctor thurawn zawm rawh.

Hriselna tha neih duhsakna kan hlan e!

` Constipation, Ek chhuah harsa, Obstructed Defecation Syndrome, Rectal Disease, Pelvic Floor chak lo, Dryness, Stool enkawl dan